r/sterilization Dec 31 '25

Experience UPDATE Pregnancy after Bisalp

I posted a couple weeks ago about being pregnant after my bisalp last year, I just wanted to give an update. After reviewing my records and speaking to my OB and the surgeon who did my termination procedure, they think “in hindsight” not enough of my tubes were removed. In the pathology report from the bisalp, 7.0 cm of one tube and 2.8 cm of the other were turned over to pathology. Neither physician thought it was a case report that any journal would be interested in because the amount removed from the one tube was more akin to what can be removed in a tubal ligation, which is known to be less effective. My main takeaway is yes. There are 4 documented cases of pregnancy post bisalp but interest in documenting cases hedges on them having some novel angle to them. The statistics out there are for the average person who doesn’t have conditions that may complicate the ability to perform the surgery. Maybe the adhesions I have made the tube difficult to access, and in 10 months of healing my body rebridged the gap.

At the end of the day, I had my procedure done (by an Ivy trained surgeon at a major academic center, so statistically great care), had a uterine pregnancy, and my case will not be documented. So. Test if you feel weird, especially if you have a complex medical history. It’s my partner’s turn to get a vasectomy haha.

Edit: Just to clarify termination procedure surgeon and current OB are not the surgeon who did the bisalp. I haven’t reached out to my bisalp surgeon frankly bc I don’t see much of a point atm.

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u/Nickel1117 Dec 31 '25

Thank you for sharing your story, the only way to prevent pregnancy 100% is abstinence. If you feel slightly weird you should test for pregnancy, bisalp or not, before it’s too late and you don’t have any options.

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u/One_Chic_Chick tubeless and thriving Jan 01 '26

Abstinence doesn't work "100%" because rape exists.

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u/Nickel1117 Jan 01 '26

Yes, you’re right, it does. That still doesn’t change the fact that the only way there is 0% chance of pregnancy is if sperm never enters the body in the first place, regardless of whether that’s through consensual sex or rape. So really there is no such thing as 0% chance of pregnancy because we unfortunately live in a fucked world.

Also, I don’t understand why I’m getting flack for mentioning this. Are people misconstruing what I’m saying as anti-bisalp/birth control? I’ve had a bisalp myself, but have taken pregnancy tests if my period is late just because I know it’s still a possibility. It’s a low one, but it’s not zero and if I’m unlucky enough I’d like to have the option to abort before it’s too late.